Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Gregory Foss

Individual provider Dermatology Physician · NPI 1285193193

Michael Gregory Foss is a Dermatology in Bradenton, Florida. Qualified in 2019, 7 years ago. Practices with Luminary Dermatology PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

2101 61st St W
Bradenton, FL 34209-5528
Phone: (941) 677-9070
Fax: (941) 296-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS17790 (FL)

Record details

NPI number1285193193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 26, 2023
Mailing address4411 Bee Ridge Rd # 309, Sarasota, FL 34233-2514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Luminary Dermatology Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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